Question

Case Studies, Chapter 30, Hygiene

1. You are a visiting free clinic nurse intending to assess an 89-year-old woman in her home, as she has extremely limited mobility. Your patient greets you while ambulating with a walker and slowly removes a pile of magazines from a chair, motioning for you to sit. While talking casually to establish rapport, you take note of her unkempt hair, soiled clothing, and dry skin. Your sense of smell detects body odors indicating lack of recent oral care and personal hygiene, including perineal care. (Learning Objectives #1, #2, & #7)
2. In your interview, how would you address her bathing habits?
3. What would be an appropriate way to address her deficient hygiene?
4. Why would questions regarding her skin condition be appropriate?
5. She indicates that her favorite soap is deodorant soap. Why might that not be the best choice for her?
6. Which bathing style would be most appropriate for her on the days her aide does not visit? Provide your rationale.
7. Outline three appropriate hygiene goals for this patient’s plan of care.

Answer 1

Here the old woman has extreme limited mobility.we can address her bathing haabit as

.Inappropriate personal hygiene related to old age as evidenced by limited mobility.

Regarding her skin condition nursing care plan will be

.Altered skin integrity related to impaired mobility.

Here the woman is a old age woman so she has extreme limited mobility.here bed bathing is the appropriate bathing method for here.during bed bathing oral care and perineal care has to be done for her simultaneously.

Three appropriate hygiene goals will be-

.daily personal hygiene should be maintained for her.

.bed bathing including oral care and perineal care has to be done for her regularly.

.physical exercises including range of motion has to be done for the woman regularly.